Case Presentation: A 62‐year‐old right‐handed female with history of idiopathic interstitial lung fibrosis status post lung transplant with new lung nodules, long‐standing hypertension and hyperlipidemia developed new‐onset neurologic deficits following CT‐guided lung biopsy. During the procedure, she experienced sharp chest pain, and immediately after, lost consciousness. Upon regaining consciousness, her neurologic exam was remarkable for […]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]

Case Presentation: A 78 year old man presented with right upper quadrant abdominal pain to the emergency department. He had no signs of acute abdomen. Labs were significant for low platelet count, elevated alkaline phosphatase. CT abdomen showed cholelithiasis, no evidence of acute cholecystitis; bilateral adrenal nodules left 2.8 and right 1.8 cm. He was […]

Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness […]